Eaton Creek Post Acute
Nashville, Tennessee · CCN 445262
25 surveys since 2011, 14 of them producing a finding at harm level or worse.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 117
- Surveys
- 25
- Harm or worse
- 14
- Immediate jeopardy
- 10
Findings at the most serious level CMS records. 3 of these were recorded as past non-compliance — corrected before the survey.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 124
- Ownership
- For profit - Limited Liability company
- Chain
- PACS GROUP
- County
- Davidson
- Medicare-certified since
- 1991
CMS ratings
- Overall
- —
- Health inspection
- —
- Staffing
- —
- Quality measures
- —
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded more weighted findings than most of its peer group.
Weighted by harm level, against 86 for-profit facilities of 100–127 beds in Tennessee.
Last survey on record
Mar 4, 2026
250 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 5.04 | 3.58 |
| Registered-nurse hours per resident day | 0.58 | — |
| Annual nurse turnover | 52.9% | 48.0% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
- Fines
- $124,061 across 4 penalties
- Payment denials
- 1
- Special focus
- SFF
Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J37.9% | K37.9% | L410.5% |
| Actual harm | G25.3% | H— | I— |
| No harm, potential for more than minimal | D2565.8% | E12.6% | F— |
| No harm, potential for minimal | A— | B— | C— |
Most frequently cited here
In CMS’s current monthly file.
- F6895×
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- F6102×
Respond appropriately to all alleged violations.
- F6252×
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
- F6572×
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- F6842×
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
In the surveyor’s words
From the most serious findings on record at Eaton Creek Post Acute, in the surveyor’s own words.
- Immediate jeopardy, widespreadF600Nov 7, 2024
Based on facility policy review, Facility #1 medical record review, facility investigation review, Hospital #2 medical record review, Facility #2 medical record review, Emergency Medical Services (EMS) report review, police report review, and interview the facility failed to provide an environment free from all types of abuse including, deprivation of goods and services by staff, sexual abuse by a resident, physical abuse by a family member, and verbal abuse by a staff member for 7 of 21 sampled residents (Resident #4, #5, #2, #3, #35, #19, and #49) reviewed for abuse. On 7/7/2024, Certified Nursing Assistant (CNA) O entered Resident #5's room and saw Resident #4 with her face leaning over the groin area of Resident #5, who quickly pulled up his pants when the CNA entered the room. […]
- Immediate jeopardy, widespreadF835Nov 7, 2024
Based on the Board of Examiners of Nursing Home Administrators (BENHA) review, list of Director of Nursing (DON) staff, job description review, facility policy review, Quality Assurance Performance Improvement (QAPI) Plan, Licensed Independent Practitioner Scope of Services, and interview, the facility Administration failed to administer the facility in a manner that enabled the facility to use its resources effectively and efficiently to attain or maintain the highest practicable physical, mental, and psychosocial well-being of vulnerable residents in the facility. The facility Administration failed to provide oversight of clinical staff and follow-up on a resident with a recent long and severe history of illicit/street drug abuse. […]
- Immediate jeopardy, widespreadF837Nov 7, 2024
Based on facility policy review, Quality Assurance Performance Improvement (QAPI) meeting minutes review, and interview, the facility ' s Governing Body consisting of the present Administrator, Senior [NAME] President of Operations, Regional Director of Operations, Assistant [NAME] President of Clinical Operations, Regional Nurse Manager, Assistant Director of Nursing, and the Director of Nursing failed to provide oversight for the QAPI Program to ensure an effective QAPI plan was established and implemented to address, timely report, and thoroughly investigate allegations of sexual abuse, physical abuse, and neglect. […]
- Immediate jeopardy, widespreadF867Nov 7, 2024
Based on policy review, job description review, Quality Assurance and Performance Improvement (QAPI) Minutes review, QAPI sign-in sheets, facility investigation, and interview, the QAPI Committee failed to ensure an effective QAPI program that systematically identified, reported, tracked, investigated, analyzed and used data and information related to all types of abuse and nutritional status in the facility. The QAPI committee failed to ensure the facility was administered in a manner that enabled it to use its resources effectively and efficiently. […]
- Immediate jeopardy, patternF609Nov 7, 2024
Based on facility policy review, medical record review, facility investigation review, and interview, the facility failed to timely report allegations of abuse and neglect for 5 of 21 (Resident #2, #3, #19, #4, and #5) sampled residents reviewed for abuse. The facility failed to report an allegation of sexual abuse to the State Survey Agency within 2 hours when Resident #2 reported/alleged to staff on 5/8/2024 at approximately 11:00 PM that Resident #3 assaulted her through anal penetration. The facility failed to report Resident #19 ' s cocaine overdose in the facility on 11/8/2023 at approximately 8:30 PM, within 2 hours to the State Survey Agency. […]
Read 25 findings in full →The most serious and the most recent: 25 of 117 on record.
Every survey on record
FindingsAt actual harm or above
- Jul 22, 2026Standard5 findings
- Mar 4, 2026Standard3 findings
- Feb 6, 2025Complaint1 finding · 1 harm
- Nov 7, 2024Complaint17 findings · 8 harm
- Aug 30, 2023Standard9 findings · 2 harm
- May 18, 2022Complaint4 findings
- Nov 23, 2021Complaint2 findings
- Oct 24, 2019Complaint1 finding
Show the 17 earlier surveys
- May 21, 2019Standard6 findings
- Mar 14, 2019Complaint1 finding
- Nov 7, 2018Complaint4 findings
- Sep 27, 2018Complaint1 finding
- Jul 11, 2018Complaint1 finding
- Apr 25, 2018Standard2 findings · 1 harm
- Oct 26, 2017Complaint1 finding
- Sep 13, 2017Complaint5 findings
- Mar 9, 2017Standard and complaint11 findings
- Sep 21, 2016Complaint7 findings
- Jul 14, 2016Complaint1 finding
- Dec 9, 2015Standard4 findings
- Jul 2, 2015Complaint4 findings
- Oct 9, 2014Standard and complaint4 findings
- Apr 26, 2013—9 findings · 2 harm
- Jan 25, 2012—4 findings
- Apr 6, 2011—10 findings
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
- Rocky Top Care CenterRocky Top6 harm findings
- Smoky Mountain Health and Rehabilitation CenterPigeon Forge15 harm findings
- Beech Tree Health and RehabilitationJellico8 harm findings
- Parkway Health and Rehabilitation CenterMemphis23 harm findings
- Church Hill Post-Acute and Rehabilitation CenterChurch Hill12 harm findings
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction